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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 15 - Anaesthesia 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
15.02 Local anaesthesia
15.02 Articaine
15.02 Bupivacaine

Bupivacaine Hydrochloride

RED
Formulary
0.25% & 0.5% Injection
BNF BNFc SPC

Bupivacaine Hydrochloride with Glucose (Marcain Heavy®)
(Injection, epidural)

RED
Formulary
BNF BNFc SPC

Bupivacaine With Adrenaline

RED
Formulary
Bupivacaine 0.25%/Adrenaline 1 in 200,000 Injection
Bupivacaine 0.5%/Adrenaline 1 in 200,000 Injection
BNF BNFc SPC
Non formulary items

Bupivacaine with Fentanyl

 
Non Formulary
BNF BNFc SPC
15.02 Levobupivacaine
15.02 Lidocaine
15.02 Mepivacaine
15.02 Prilocaine
15.02 Procaine
15.02 Ropivacaine
15.02 Tetracaine
15.02 Other local anaesthetics
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.